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Upper Endoscopy With Full Ultrasound Survey

California rates for HCPCS 43259

A flexible camera with an ultrasound probe on its tip is passed through the mouth to inspect the food pipe, stomach and first part of the small intestine, and to see through their walls into nearby structures such as the pancreas, bile duct and lymph nodes. The ultrasound survey covers the whole upper tract rather than a single area, which is why it is used for staging and for sorting out unexplained findings. No tissue sample is taken as part of it.

Rates data updated July 2026.

How much does Upper Endoscopy With Full Ultrasound Survey cost?

$5,248

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $5,248 for this service. Most negotiated rates run $3,388 to $7,943.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,754 · 10th to 90th $832 to $13,490Professionalmedian $229 · 10th to 90th $186 to $603
$200$500$1K$2K$5K$10K$20Kfacility $5,754professional $229

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$6,456.54
Typical High
$16,218.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,888.44
Typical High
$13,489.63
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$4,466.84
Typical High
$9,772.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,000.00
Typical High
$2,290.87
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$223.87
Typical High
$316.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$630.96
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$45,708.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$331.13
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,168.69
Typical High
$9,549.93

Where California sits

The same service costs 26.9 times more in Nebraska than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 4th of 50

$5,248

NE $6,166ND $229

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.